Organization
TURNING LEAF THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER M LAKE M.A., LMFT (OWNER)
(651) 330-6205
Entity
Organization
Contact information
Practice address
2589 HAMLINE AVE N STE C, ROSEVILLE, MN 55113-3185
(651) 330-6205
(651) 330-8718
Mailing address
2589 HAMLINE AVE N STE C, ROSEVILLE, MN 55113-3185
(651) 330-6205
(651) 330-8718
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2425
MN
Other
Enumeration date
07/14/2016
Last updated
12/14/2021
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